La délégation des tâches à l’ère de la e-santé pour soutenir les interventions communautaires en santé maternelle et infantile : ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-10

AUTHORS

C-O Bagayoko, M Niang, A Anne, D Traoré, H Sangho, A-K Traoré, A Geissbuhler

ABSTRACT

The PACT-Denbaya project (Program for community access to telemedicine for families) aimed to help improve the health of mothers and child in rural communities through the delegation of obstetric-gynecologic and pediatric tasks, supported by teleconsultations. This operational research took place in 6 community health centers in the Dioïla health district in Mali. Our method was based of the delegation of tasks, supported by teleconsultations. Experts in pediatrics and obstetrics/gynecology provided a week-long training program to general practitioners and midwives, in the management of the most common problems in the field and in the use of the "Bogou" teleconsultation and "Dudal" tele-education platforms to ensure exchanges and follow-up. Overall, 17 healthcare providers, that is, general practitioners, nurse-obstetricians, and midwives participated in sessions to strengthen gynecology-obstetric and pediatric capacity in the field. The evaluation of knowledge and of the indicators compared with the baseline of 8359 pregnancies and 1991 documented deliveries and of user satisfaction showed that this type of service resulted in decreased maternal and child mortality. In view of these results, we can deduce that the delegation of tasks, when it is supported by telehealth, encounters no resistance from the specialists and contributes to the significant improvement of maternal and infant health in remote areas. A long-term impact study is necessary to reinforce these results. More... »

PAGES

354-359

Identifiers

URI

http://scigraph.springernature.com/pub.10.1684/mst.2017.0727

DOI

http://dx.doi.org/10.1684/mst.2017.0727

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100288198

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29313498


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